How much does Medicare pay for CPT 93653?

Medicare allowed an average of $804.30 per service and paid $637.71 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3130.75, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does 93653 pay differently in an office than a hospital?

Yes. The allowed amount averaged $415.13 in an office setting and $805.71 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 93653 most?

Clinical Cardiac Electrophysiology, with 13,568 services from 760 clinicians. Next are Cardiology, Internal Medicine, Interventional Cardiology.

CPT 93653

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate)

$804.30Medicare-allowed amount per service, averaged across 16,905 services

Providers submitted

$3130.75

Asking price, not received

Medicare allowed

$804.30

The fee schedule figure

Medicare paid

$637.71

Balance is patient coinsurance

Providers submitted an average of $3130.75 for this code and Medicare allowed $804.30 — 3.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $637.71 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $415.13
Hospital / facility: $805.71

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 61 services were billed in an office setting and 16,844 in a facility.

Services: 16,905
Beneficiaries: 16,615
Providers billing it: 962
Total allowed: $13,596,692

What Medicare pays for CPT 93653

Across 16,905 services billed by 962 providers to 16,615 beneficiaries, Medicare allowed an average of $804.30 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 93653

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	13,568	13,337	$805.09	760
Cardiology	2,878	2,825	$809.79	174
Internal Medicine	378	373	$741.07	22
Interventional Cardiology	40	40	$773.82	3
Critical Care (Intensivists)	16	16	$784.57	1
Family Practice	14	13	$778.83	1
Undefined Physician type	11	11	$745.58	1

93653 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	1,724	$814.12	$623.66	86
Texas	1,602	$777.14	$620.43	85
Florida	1,460	$857.77	$631.98	73
New York	1,118	$924.50	$631.56	56
Illinois	683	$883.32	$632.08	43
Georgia	593	$799.01	$628.20	34
Arizona	576	$778.70	$629.74	31
Massachusetts	561	$822.73	$630.07	32
Virginia	558	$798.72	$629.92	32
Pennsylvania	469	$794.60	$632.35	30
North Carolina	447	$748.13	$626.53	30
Washington	436	$796.76	$628.26	27
Maryland	435	$856.47	$630.28	25
South Carolina	395	$762.47	$631.28	25
Ohio	388	$792.68	$627.72	26
Indiana	381	$739.94	$625.47	26
Tennessee	369	$729.45	$629.78	22
Colorado	363	$796.24	$631.57	25
Oklahoma	360	$754.96	$623.55	17
Missouri	304	$787.31	$627.24	19
Iowa	283	$722.51	$629.90	16
Oregon	212	$772.62	$628.23	12
Wisconsin	209	$735.49	$629.53	14
Utah	199	$774.19	$635.14	9
Arkansas	198	$722.68	$633.43	11
Michigan	196	$830.48	$632.48	13
New Jersey	194	$866.39	$634.95	13
Alabama	183	$752.12	$629.30	10
Kentucky	176	$773.04	$629.36	10
Minnesota	165	$727.80	$630.90	12
Montana	164	$787.67	$623.57	9
Mississippi	140	$749.56	$633.45	6
West Virginia	132	$807.96	$628.02	8
Kansas	127	$726.15	$630.99	9
South Dakota	127	$738.73	$629.51	5
New Hampshire	122	$764.93	$634.22	8
Louisiana	120	$771.76	$631.48	7
Nebraska	112	$690.97	$627.97	6
New Mexico	93	$797.85	$635.32	6
Nevada	80	$762.39	$626.57	5
Alaska	80	$1004.84	$635.91	4
Idaho	78	$731.13	$624.89	5
District of Columbia	65	$826.22	$622.21	4
Rhode Island	61	$802.33	$623.89	5
North Dakota	58	$736.93	$623.82	3
Connecticut	55	$880.90	$629.74	4
Delaware	30	$794.02	$632.86	2
Vermont	13	$737.83	$628.08	1
Hawaii	11	$782.24	$635.41	1

Related codes

93656Comprehensive electrophysiologic evaluation$911.22
93657Destruction of tissue of upper heart chamber through tube to treat abn$297.38
93655Insertion of catheters and destruction of tissue to treat abnormal hea$294.16
93623Programming of heart rhythm stimulation after drug infusion$65.91
93662Ultrasound evaluation of heart blood vessel$67.91
93622Insertion of catheters for recording and pacing of left lower heart ch$163.00
93609Insertion of tube in upper and/or lower heart chambers to record and i$269.78
93650Destruction of heart conduction tissue to create heart block$527.25
93660Evaluation of heart function$111.98
93641Evaluation of single or dual chamber pacing cardioverter-defibrillator$156.53
93654Comprehensive electrophysiologic evaluation$954.56
93620Insertion of catheters for recording and pacing of right heart chamber$595.77

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.